Just as an FYI, you might want to look at the relevant sections on determining Part A utilization days from Chapter 6, "SNF Inpatient Part A Billing," in the new on-line Medicare Claims Processing Manual. Remember, the SNF-12 Manual is being phased out. Chapter 1 of the SNF-12 has already been DELETED from the CMS web site. The entire chapter 6 of the new claims processing manual can be found at: http://cms.hhs.gov/manuals/104_claims/clm104c06.pdf
----- Original Message -----
From: MDS Lady
Sent: Thursday, November 06, 2003 5:10 PM
Subject: Fwd: Same day Transfer

Thanks for all the answers.....their concern for being paid the RUG instead of charges was actually based on the following statement from the SNF manual, 517.6, bottom of the paragraph.......
 

"However, under these same circumstances, if the two providers represent an institution composed of a participating hospital and a distinct part participating SNF, the first provider cannot bill for accommodations, but may bill for ancillary charges."

 


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